| NPI | 1982151841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 581850) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN626028) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |