| NPI | 1568828549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 801857) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10311490) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2021-12-02 |