| NPI | 1275968653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 715076) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 312079) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2018-06-08 |