| NPI | 1508051632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 3309721) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: NY 3309721) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |