| NPI | 1831884907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 344199) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 344199) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |