| NPI | 1356717250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001245906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1038718) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |