| NPI | 1962719831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 765207) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN3195664) |
| 164W00000X Licensed Practical Nurse (Licence: NY 285687) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2019-05-06 |