| NPI | 1760750707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 706657) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308476-1) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2015-12-21 |