| NPI | 1912220898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 544429) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 004253-1) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2011-11-30 |