| NPI | 1912403635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 640694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9359061) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |