| NPI | 1609057546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 765859) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2876761) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2020-04-17 |