| NPI | 1023865300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 345504) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN100199) |
| 164W00000X Licensed Practical Nurse (Licence: PA PN313773) | |
| 164W00000X Licensed Practical Nurse (Licence: AZ 283480) | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |