| NPI | 1053740167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 698868-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 310891) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2015-11-23 |