| NPI | 1720545049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 332866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 332866) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2024-05-21 |