| NPI | 1225659410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 303640) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2022-07-14 |