| NPI | 1003298209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 699706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9681011) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2025-11-09 |