| NPI | 1477325959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 823708-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9502486) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |