| NPI | 1053552232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 614353-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN600255) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-05-09 |