| NPI | 1962150722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500006800) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 183500000X Pharmacist (Licence: MD 28473) | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2023-10-27 |