| NPI | 1447729926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 0132958) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 805931) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2021-09-24 |