| NPI | 1487893426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 663741-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 291515-1) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2019-04-04 |