| NPI | 1063213874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002104666) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 343034) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |