| NPI | 1235482126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 743378) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299350) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2021-12-25 |