| NPI | 1972957801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1056964) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC HHA12018) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-07-30 |