| NPI | 1871986000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 963290) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 319936) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2024-11-06 |