| NPI | 1417384009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 314346) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 2073714) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2014-05-28 |