| NPI | 1215186796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 673085) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 244610) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2024-09-16 |