| NPI | 1336484302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R224250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 647576) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2018-12-19 |