| NPI | 1629467329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1004211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R114017) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |