| NPI | 1407372584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R219932) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN258786) |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-08-20 |