| NPI | 1972185247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 409159) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 409159) |
| 163WG0600X Registered Nurse, Gerontology (Licence: NY 409159-1) | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |