| NPI | 1477798080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 664065) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 284240) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2013-09-04 |