| NPI | 1285905943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 307533) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP49913) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2026-03-11 |