| NPI | 1649619214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 669736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 110130) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |