| NPI | 1700164217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 554229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN214520) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2019-09-17 |