| NPI | 1154766426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 713528-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 304453) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-04-18 |