| NPI | 1003599044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 335649-01) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 335649-01) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |