| NPI | 1245639681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 318949) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5199414) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |