| NPI | 1588133177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 855519) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3335421) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2022-09-06 |