| NPI | 1235328931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 6141101) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 270380-1) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2010-02-22 |