| NPI | 1740046515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: NY 345133) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NJ 26NP06464500) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |