| NPI | 1760622963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 086993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 611438) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-03-27 |