| NPI | 1598109910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 738900) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 31363-1) |
| 261Q00000X Clinic/Center (Licence: NY 313633-1) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2017-08-25 |