| NPI | 1407161276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 531118-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 098498-1) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |