| NPI | 1174834667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 299811-1) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 353777) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2021-10-12 |