| NPI | 1760139521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 350462) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 117441) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2026-03-03 |