| NPI | 1851141824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 984293) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 342781) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-09-11 |