| NPI | 1821638545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N29319) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 336972-01) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2026-03-05 |