| NPI | 1316493133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 685453-1) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 685453-1) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |