| NPI | 1316179013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 206288) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 206288-01) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2025-08-05 |