| NPI | 1598158057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 684733-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN615324) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |