| NPI | 1093423477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 824393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 82439301) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |