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 |