| NPI | 1114155777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 535836) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 535836) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: NY 535836) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |