| NPI | 1407140841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 614510-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 064972-1) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |