| NPI | 1275186553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 324826-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 324826) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |