| NPI | 1427335041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 497789-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 252031-1) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-12-22 |