| NPI | 1063714319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 299988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 746875) |
| 163W00000X Registered Nurse (Licence: PA RN729837) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2023-10-20 |