| NPI | 1376784116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 201458) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 204158) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |