| NPI | 1215508270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 543943-01) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 543943-01) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |