| NPI | 1295036002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R113050) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1008387) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |