| NPI | 1124329727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 318080) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 096262) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2024-11-12 |