| NPI | 1316410582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 644191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6441911) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |