| NPI | 1396192811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 528159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 85329) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |