| NPI | 1184094807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 807394) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3236371) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2021-09-28 |