| NPI | 1780351288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R199607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1062469) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |