| NPI | 1639401961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 407013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 407013) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |