| NPI | 1144167412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 30001565) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 346237) |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-04 |