| NPI | 1700477999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 816224) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 329945-01) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-06-01 |