| NPI | 1659924314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR20210400) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 7660341) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2022-03-01 |