| NPI | 1134864507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 993571) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 342091-01) |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2025-06-30 |