| NPI | 1831600097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 782931) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 328460) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2021-12-01 |