| NPI | 1306613450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1063035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001299639) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-01-16 |