| NPI | 1164912382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 763251) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330825) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2026-02-13 |