| NPI | 1689071961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 695675) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1175909) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2021-06-02 |