| NPI | 1689126690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: NY 562297) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 562297-1) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2022-06-17 |