| NPI | 1154622736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9307135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5208351) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |