| NPI | 1437307725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 279881) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 221915) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2012-03-12 |