| NPI | 1578840559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 618318) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 618318) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |