| NPI | 1609189455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 614103-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 091594) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |