| NPI | 1821380163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 821751) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 236122-1) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2021-12-29 |