| NPI | 1285489484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 347900) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA N103961) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |