| NPI | 1912850132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 966418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2023007382) |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-02-17 |