| NPI | 1578901187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 307073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 831195) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-04-08 |