| NPI | 1275329708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 597885) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 597885) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |