| NPI | 1376973438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 678418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 188425) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |