| NPI | 1992262422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1048087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001279492) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |