| NPI | 1124554118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 381643-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 576554) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |