| NPI | 1639509599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 789726-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 315393) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2020-03-24 |