| NPI | 1457096992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R212100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r21200) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |