| NPI | 1114197605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 671560) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 287200) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2013-08-05 |