| NPI | 1396488854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 8608610-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN-511110-L) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |