| NPI | 1316204902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA RN0001183197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R155762) |
| 163W00000X Registered Nurse (Licence: DC RN1016274) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |