| NPI | 1912329343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 744083) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 287382-1) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-07-25 |