| NPI | 1528446879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 286285 - 1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 286285 - 1) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |