| NPI | 1265147904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1035296) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001253108) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |