| NPI | 1497397582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1052405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001285512) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |