| NPI | 1538496005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 652090) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 295267-1) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2012-08-14 |