| NPI | 1326384470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 698390-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 312727-1) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2015-04-16 |