| NPI | 1932577137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 770146) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 321971-1) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2023-01-05 |