| NPI | 1588985428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 220859) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 220859) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |