| NPI | 1306392865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 234171-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 234171) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |