| NPI | 1629748967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 813423) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22551300) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |