| NPI | 1114397080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 297533-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR05467300) |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2015-10-04 |