| NPI | 1497267918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 794443) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 327518) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2020-07-10 |