| NPI | 1174965636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 751439) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 298906-1) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2018-10-01 |