| NPI | 1790130938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 422147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 422147) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |