| NPI | 1528499142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 878152) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 316375) |
| Enumeration Date | 2013-12-07 |
| Last Update Date | 2024-04-24 |