| NPI | 1114246881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 287308-1) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 287308-1) |
| 164X00000X Licensed Vocational Nurse (Licence: NY 287308) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |