| NPI | 1639972268 |
|---|---|
| Professional Name | NOT APPLICABLE NOT APPLICABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 78-199801) |
| Enumeration Date | 2025-03-29 |
| Last Update Date | 2025-03-29 |