| NPI | 1396099651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 667617) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10301335) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2017-07-03 |