| NPI | 1831418193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 805035) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 01000293535) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2024-03-12 |