| NPI | 1972986222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 978105) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 310791) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2026-02-26 |