| NPI | 1699270876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 802747) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 331420) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-08-14 |