| NPI | 1912295023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1005568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R171738) |
| 163W00000X Registered Nurse (Licence: VA 0001204655) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |