| NPI | 1275004574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 331901-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR25936200) |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2024-07-16 |