| NPI | 1538424270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 668613-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 298994) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2020-12-03 |