| NPI | 1609017763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NY 455160) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: NY 4774) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |