| NPI | 1487891842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 608111) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 279161) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2010-04-09 |