| NPI | 1043693070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 881396) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 321535) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-04-10 |