| NPI | 1508234634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 657142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13451700) |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2015-09-05 |