| NPI | 1053860700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 930159-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3146071) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2024-04-26 |