| NPI | 1801161278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 468687-1) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 468687-1) |
| Enumeration Date | 2012-03-18 |
| Last Update Date | 2012-03-18 |