| NPI | 1659668002 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 749031) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 267829) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2023-06-05 |