| NPI | 1790035327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 762681-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 310642) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2025-05-21 |