| NPI | 1538607130 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R169925)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1007642)  | 
| Enumeration Date | 2017-02-03 | 
| Last Update Date | 2017-02-15 |