| NPI | 1528367034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 726413) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 304155) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2017-07-19 |