| NPI | 1871809319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 749803) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 301286-1) |
| 164W00000X Licensed Practical Nurse (Licence: FL pn5166573) | |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2025-01-22 |