| NPI | 1598255796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 972909) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 328095) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2026-03-05 |