| NPI | 1972176543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R242641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1052839) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-10-13 |