| NPI | 1770954018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 358117) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 321382) |
| 164W00000X Licensed Practical Nurse (Licence: NC 083656) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2023-06-23 |