| NPI | 1518734946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001218666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 500007307) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |