NPI | 1043024094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR22742100) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 691692-1) |
Enumeration Date | 2025-02-01 |
Last Update Date | 2025-02-01 |