| NPI | 1982042065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 810430) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3101501) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-07-25 |