| NPI | 1629392998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 6826721) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 291259) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2014-03-21 |