| NPI | 1578968756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 684025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.109929) |
| 163W00000X Registered Nurse (Licence: MA 257455) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2017-03-22 |