| NPI | 1790343143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 818385) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 333103-1) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2021-12-02 |