| NPI | 1285019711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 67049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R177378) |
| 163W00000X Registered Nurse (Licence: VA 0001215789) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |