| NPI | 1073757233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 206530) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NM L14017) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |