| NPI | 1780365114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 338890) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY N12989) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2026-01-13 |