| NPI | 1023461118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 763284) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 323499) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2021-02-18 |