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 |