| NPI | 1871245647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 313756) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 696428) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2024-09-03 |