| NPI | 1669717807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: NY 22 652320) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: NY 22 652320) |
| 163WX1500X Registered Nurse Ostomy Care (Licence: NY 22 652320) | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |