| NPI | 1497091086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 663419-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 663419) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2021-08-31 |