| NPI | 1700246931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 317131) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 46119) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2026-07-08 |