| NPI | 1225219207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NY 432618-1) |
| Additional Taxonomies | 251S00000X (Licence: NY 432618-1) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-20 |