NPI | 1811697204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 763443) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR23745900) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-06 |