| NPI | 1164810693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 994203) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 320782) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2026-04-25 |