| NPI | 1306056270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 530142-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 241162-1) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |