| NPI | 1205003985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 331221) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP42394) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2018-02-02 |