| NPI | 1326465014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 702086) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 303409-1) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2021-12-08 |