| NPI | 1255594123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 531593-1) |
| Additional Taxonomies | 286500000X Military Hospital |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |