| NPI | 1043579097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 707625-1) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 7070625-1) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: NY 707625-1) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2016-06-20 |