| NPI | 1114497716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 817094) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 333887) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2021-08-25 |