| NPI | 1871990127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 732865) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 317503-1) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2019-11-15 |