| NPI | 1568977437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 818750) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 302833) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2023-09-14 |