| NPI | 1497042717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 695769-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 304843) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-06-12 |