| NPI | 1598380834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 881132) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 338220) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2023-10-05 |