| NPI | 1992257356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 585655-1) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 585655-1) |
| 163WS0200X Registered Nurse, School (Licence: NY 585655-1) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |