| NPI | 1154886729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 816009) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 278981) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-03-15 |