| NPI | 1275958639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 314042) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 694036) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2015-01-04 |