| NPI | 1942557798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 650858-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9293191) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2012-08-11 |