| NPI | 1104472331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NY 450075-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 450075) |
| 163W00000X Registered Nurse (Licence: NY 450075-1) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2023-11-07 |