| NPI | 1063954576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 325429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 963226) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2026-06-05 |