| NPI | 1508165523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 698875) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 302654) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2015-08-13 |