| NPI | 1629225206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 695688) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 286240) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2015-02-04 |