| NPI | 1770728313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 683256-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 237966) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2017-05-10 |