| NPI | 1255966826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N33806) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 337812) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2026-04-13 |