| NPI | 1558675439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 629383) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 350200) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |