| NPI | 1831629799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 846801) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 325901) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-10-04 |