| NPI | 1689360463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 995618) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 336694) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2025-08-19 |