| NPI | 1417154386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD r119875) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DC rn1004371) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |