| NPI | 1013607191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 892663) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 33857401) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-01-16 |