| NPI | 1891033221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 779569) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 312542) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2025-04-09 |