| NPI | 1144513201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 839407) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 283016) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-06-06 |