| NPI | 1144596461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001229827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 603214) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |