| NPI | 1932582426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 754452) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 313454) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2025-06-11 |