| NPI | 1740839299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 949817) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 334977) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2024-09-18 |