| NPI | 1952692527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 754433) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 297516-1) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2023-08-08 |