| NPI | 1467104265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 477085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14217100) |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2022-02-02 |