| NPI | 1699010868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 832779-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 311875-1) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2025-12-17 |