| NPI | 1376822361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 302296-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 761239-1) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2019-04-01 |