NPI | 1922852524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: NY 317530) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 317530) |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |