| NPI | 1255087789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 34205901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 945021) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-06-25 |