| NPI | 1235709742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 290578-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 290578) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |