| NPI | 1083957260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 313494-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 762003-1) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-02-26 |