| NPI | 1508162397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 608387-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 608387-1) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |