| NPI | 1144468331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 587788) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 237880) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |