| NPI | 1700362605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 649362-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 241623) |
| 163W00000X Registered Nurse (Licence: NJ 26NR19797400) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |