| NPI | 1023677077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 684230) |
| Additional Taxonomies | 261QS1000X Clinic/Center Student Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |