| NPI | 1538458856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 641669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 094467) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |