| NPI | 1497176812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 767368) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 316989) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2024-06-19 |