| NPI | 1295249704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 768947) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 329554) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-07-05 |