| NPI | 1124443965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 387427-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR05808400) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |