| NPI | 1619277217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 4824691) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: NY 4824691) |
| 163WP0000X Registered Nurse, Pain Management (Licence: NY 4824691) | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |