| NPI | 1235708546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 827900) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 341938) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-10-05 |