| NPI | 1689915522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 662402-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 662402) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2022-12-20 |