| NPI | 1528572906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 635428) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2025-08-13 |