| NPI | 1952775272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R211195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1029994) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2021-01-22 |