| NPI | 1205162526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 545369-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13656500) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2012-02-15 |