| NPI | 1295073104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 762746) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 313296-1) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2024-01-12 |