| NPI | 1003051962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 502394) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 502394) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |