| NPI | 1760922611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 772660) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 326335) |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2025-08-18 |