| NPI | 1265670418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 232441-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 232441) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2020-03-03 |