| NPI | 1528513710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 3038611) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 303861) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-06-02 |