| NPI | 1104802099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 565202) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-05-08 |