| NPI | 1528595162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R149427) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD R149427) |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2019-06-11 |