| NPI | 1518400357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 914554) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 302880) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2023-12-07 |