| NPI | 1356686448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 629466) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308070) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2025-04-09 |