| NPI | 1073880373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 714895-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 295432-1) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2016-10-12 |