| NPI | 1659707842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 683204) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 313088) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2015-05-14 |