| NPI | 1700157922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 484906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 484906-01) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2023-04-28 |