| NPI | 1417264680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 671839-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 251516) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2013-07-29 |