| NPI | 1720879034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 352188) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5160390) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-16 |