| NPI | 1558497628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 751538-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 007115-1) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-01-22 |