| NPI | 1124398771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 626555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 626555) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 626555) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |