| NPI | 1619135449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 369510-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R50644) |
| 163W00000X Registered Nurse (Licence: AZ RN109204) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |