| NPI | 1659752632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1029942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R141284) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |