| NPI | 1063804664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 660362-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16424200) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |