| NPI | 1124451786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 668143-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 566380) |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2013-08-18 |