| NPI | 1902781966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CT 43395) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 285489-1) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-13 |