| NPI | 1609434901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R222904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1041888) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |