| NPI | 1538449244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 717531) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 306599-1) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2016-10-11 |