| NPI | 1629544226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 782016) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 331458-1) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2021-07-13 |