| NPI | 1043567860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 303784-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL pn5198425) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |