| NPI | 1073882064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 4605084-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 4650841) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |