| NPI | 1083994214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 301881-1) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 301881) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2020-11-10 |