| NPI | 1629640917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N09979) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 341389-01) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2026-06-04 |