| NPI | 1316605173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 233819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1050908) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |