| NPI | 1053752618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 718413) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 313313) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2016-12-01 |