| NPI | 1417779273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 823953-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN799334) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2025-11-04 |