| NPI | 1831460609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 77485) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308944) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2019-12-19 |