| NPI | 1710349832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 3171141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 93875401) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2025-11-28 |