| NPI | 1144591843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 715624) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308259) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2026-06-03 |