| NPI | 1609217306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 769187) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 10314801) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-06-01 |