| NPI | 1376795245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 274544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 610980) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432409) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2022-08-22 |