| NPI | 1417226259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 3020831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 302083-1) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |