| NPI | 1073844627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 487981-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN514199L) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |