| NPI | 1174216394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 314336-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL pn5254860) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |