| NPI | 1851653786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 504636-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 504636-1) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |