| NPI | 1992932883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 568825-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13029300) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |