| NPI | 1629336946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 563500-1) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: CT 091353) |
| 163W00000X Registered Nurse (Licence: CT 091353) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |