| NPI | 1679877807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 294835) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 294835-1) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2025-01-15 |