| NPI | 1790659522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R264555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD RN500023845) |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |