| NPI | 1154673044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 280665) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 30004065) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2025-05-01 |