| NPI | 1629307244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 687730) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: NY 687730) |
| 164W00000X Licensed Practical Nurse (Licence: NY 2810971) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2021-04-27 |