| NPI | 1124582135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 926672) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 334523) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2025-05-02 |