| NPI | 1184880619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 699099) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 291132) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2016-02-03 |