| NPI | 1538719505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 355600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 944626) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2025-04-01 |