| NPI | 1407161441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9440345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6313521) |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2018-03-22 |