| NPI | 1215897020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 235568) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5173238) |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2025-11-13 |