| NPI | 1114181955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22713353) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002072658) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-03-29 |