| NPI | 1598014375 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN967551) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R164500) | 
| Enumeration Date | 2012-09-07 | 
| Last Update Date | 2012-09-07 |