| NPI | 1316429327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 556492) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NY 556492) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |