| NPI | 1619485810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 626697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R63240) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |