| NPI | 1336879584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R265837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001310047) |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2024-06-16 |