| NPI | 1184093676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 798996) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 311931) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2019-03-27 |