| NPI | 1316754815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 907918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22942700) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |