| NPI | 1205106556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 382867-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR06558500) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |