| NPI | 1033855937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 594626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 594626-01) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |