| NPI | 1720493158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R158291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 640412) |
| 163W00000X Registered Nurse (Licence: DC RN968094) | |
| 163W00000X Registered Nurse (Licence: MI 4704275792) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |