| NPI | 1093105488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 762939) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 318860-1) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2025-10-06 |