| NPI | 1205227360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 320273) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP06850300) |
| 164W00000X Licensed Practical Nurse (Licence: PA PN293906) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |