| NPI | 1174932974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5239139) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 294954-1) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2025-01-30 |