| NPI | 1356805279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 786895) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 309079) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-06-08 |