| NPI | 1598459760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 33163) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3338163) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |