| NPI | 1053645341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 629991) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 279643-1) |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2024-04-15 |