| NPI | 1306201777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R143974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1034195) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |