| NPI | 1699163303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: DE L1-0044689) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 631661) |
| 163WA2000X Registered Nurse, Administrator (Licence: MD R210669) | |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2015-01-03 |