| NPI | 1003190745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 184644-1) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 184644-1) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 184644-1) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |