| NPI | 1417567959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 821419) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 338948) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2026-03-23 |