| NPI | 1407414360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 754780) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 754780-1) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |