| NPI | 1669900874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1031773) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R207989) |
| 163W00000X Registered Nurse (Licence: VA 0001271855) | |
| 163WC1500X Registered Nurse, Community Health (Licence: DC RN1031773) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |