| NPI | 1881122299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 734980) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 278773) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2020-04-24 |