| NPI | 1083038731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 757878) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 317536) |
| 163W00000X Registered Nurse (Licence: NY 757878-1) | |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2019-05-22 |