| NPI | 1548566631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 682670) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 298858) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2014-04-04 |