| NPI | 1912305939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1025208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R200645) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |