| NPI | 1801112586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 493404) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 493404) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |