| NPI | 1144713603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 331626-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 844809) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2026-05-04 |