| NPI | 1811704091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 348992) |
| Additional Taxonomies | 364SL0600X Clinical Nurse Specialist Long-Term Care (Licence: NY 348992) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |