| NPI | 1245566033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 689488) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 238408) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2014-08-14 |