| NPI | 1750243077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CT 44316) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 319395) |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |