| NPI | 1316648124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1041300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R205472) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |