| NPI | 1760812457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 655422-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 655422-1) |
| 163WD1100X Registered Nurse Dialysis, Peritoneal (Licence: NY 655422-1) | |
| 163WW0000X Registered Nurse Wound Care (Licence: NY 655422-1) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |