| NPI | 1275895856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 309925-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6987041) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2015-05-07 |