| NPI | 1073806592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 654896) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 298481) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2024-03-14 |