| NPI | 1538755962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-171063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 804782) |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2020-12-20 |