| NPI | 1609455286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 478682) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NY 478682) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |