| NPI | 1427357771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 649828) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 295658-1) |
| 164X00000X Licensed Vocational Nurse (Licence: NY 295658-1) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2017-01-31 |