| NPI | 1053666479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 601928-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13837200) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |