| NPI | 1588422349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1040534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0071060) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |