| NPI | 1134565617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 615509-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13948000) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2023-06-28 |