| NPI | 1306611074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 777682-01) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 777682-01) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |