| NPI | 1114265832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 811246) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 307113) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2025-04-30 |