| NPI | 1609442201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 946269-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 310156) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2025-01-23 |