| NPI | 1518217926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: NY 565384) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9311136) |
| 163W00000X Registered Nurse (Licence: NY 565384) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |