| NPI | 1427475912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 2044842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 380201-1) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |