| NPI | 1053580837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 526610-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9250290) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |