| NPI | 1851729255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 875677) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: NY 000679) |
| 164W00000X Licensed Practical Nurse (Licence: NY 316680) | |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2023-03-24 |