| NPI | 1609692029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500016890) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R263855) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |