| NPI | 1710426481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 960879) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 327694) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2025-02-06 |