| NPI | 1821538448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 590172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 100761) |
| 163W00000X Registered Nurse (Licence: CT 131101) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |