| NPI | 1104105162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 9328676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 454540-1) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |