| NPI | 1063796977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 222730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 222730-1) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |