| NPI | 1730805565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 885545-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 326-329-01) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-03-12 |