| NPI | 1841763620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 326369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95418834) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2025-05-28 |