| NPI | 1770188666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 806458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22169800) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |