| NPI | 1114222643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 211433-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 02906389) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |