| NPI | 1154632933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 299323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 791847) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-08-17 |