| NPI | 1124362199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 638903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9341682) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-08-21 |