| NPI | 1396101705 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 940937)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 847340)  | 
| 164W00000X Licensed Practical Nurse (Licence: NV 847340)  | |
| 164W00000X Licensed Practical Nurse (Licence: NY 324269)  | |
| Enumeration Date | 2016-01-14 | 
| Last Update Date | 2024-12-26 |