| NPI | 1003334608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 636379-1) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 636379-1) |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2017-11-05 |