| NPI | 1487833323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 229246) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 258141) |
| Enumeration Date | 2007-10-28 |
| Last Update Date | 2021-07-30 |