| NPI | 1619573847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 10-78150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 548731-01) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |