| NPI | 1710384599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 604297-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16005300) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2021-12-08 |