| NPI | 1063837268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 601795-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 36378) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |