| NPI | 1730659731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 832706) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 332267) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2021-12-16 |