| NPI | 1427613686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 927876) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 332231-1) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2024-07-31 |