| NPI | 1851451181 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 695228) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 278339) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-03-24 |