| NPI | 1174217632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 314074) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9629883) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |