| NPI | 1881288140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9359575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 631783) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |