| NPI | 1114399102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 511747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 597726) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |