| NPI | 1841072238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 327527) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NY 003471) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |