| NPI | 1366284606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 335220) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ 290053) |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-08 |