| NPI | 1164726782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 302388) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3102388) |
| 251J00000X Nursing Care (Licence: NY 3023388) | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |