| NPI | 1750518064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 290526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 084601) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |