| NPI | 1285834697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22655029) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2850441) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2014-08-15 |