| NPI | 1407130271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 691265) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 306737) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2021-10-16 |