| NPI | 1578057691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MD R177992) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R17792) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-09-28 |