| NPI | 1841460417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 633761-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 287864-1) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-09-21 |