| NPI | 1659747046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 890243) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 314623) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-07-04 |