| NPI | 1659610228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 735387) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 312326-1) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2022-07-21 |