| NPI | 1093451387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 344521) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-02-02 |