| NPI | 1548655624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 610256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 557300) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2015-04-05 |