| NPI | 1740664374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 700285) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2804431) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-15 |