| NPI | 1194113522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY N26575) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY N26575) |
| 164W00000X Licensed Practical Nurse (Licence: NY 268391) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2026-02-25 |