| NPI | 1881218709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 337938-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 833046-01) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-12-20 |