| NPI | 1366780314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 307883-1) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 307883-1) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |