| NPI | 1710223516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 806780) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NY 343280950612E) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2024-03-09 |