NPI | 1376804617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 785113) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 355416) |
164W00000X Licensed Practical Nurse (Licence: NY 298551) | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2025-01-20 |