| NPI | 1124588835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 961454-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 326917) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-05-14 |