| NPI | 1477384147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 825479-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 479272) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |