| NPI | 1760838205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 7144993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 714993) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |