| NPI | 1205021979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 685413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17587100) |
| 171100000X Acupuncturist (Licence: NY 0032251) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2023-01-24 |