| NPI | 1912284175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 783002-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 307353) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2024-07-09 |