| NPI | 1831463389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 645169) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN217545) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2021-07-24 |