NPI | 1588363931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 244632-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 943840) |
Enumeration Date | 2023-02-24 |
Last Update Date | 2025-01-10 |