| NPI | 1649636606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 1229511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22631717) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |