| NPI | 1518253913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R180095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN43695) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |