| NPI | 1023310562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 445944-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 445944-1) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |