| NPI | 1548674443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 644040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9363533) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |