| NPI | 1487165601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 704521) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704521-1) |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2017-10-15 |