| NPI | 1275244899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 343232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 582404-01) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-19 |