| NPI | 1285808592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 293139) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5180145) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2011-07-26 |