| NPI | 1043942295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 976673) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 343481-01) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-11-15 |