| NPI | 1699053066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 649560-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9220265) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-11-04 |