| NPI | 1629792783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 329692) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5249837) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-05 |