| NPI | 1144514779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 640783-1) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 640783-1) |
| 163WG0000X Registered Nurse, General Practice (Licence: NY 640783-1) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2018-08-19 |