| NPI | 1013355403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 777420) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 314292) |
| 163W00000X Registered Nurse (Licence: FL RN9583707) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2026-01-09 |