| NPI | 1659996080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 85002) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 338250) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-07-24 |