| NPI | 1598120677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1042972) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD Lpn48410) |
| 164W00000X Licensed Practical Nurse (Licence: DC Lpn 1004388) | |
| 163W00000X Registered Nurse (Licence: MD R227240) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2017-05-03 |