| NPI | 1508092370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001214060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1015326) |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2009-06-06 |