| NPI | 1265892624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 7035191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95078691) |
| Enumeration Date | 2016-02-28 |
| Last Update Date | 2016-02-28 |