| NPI | 1124350558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 568762) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 269130) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |