| NPI | 1447503099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 269177) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5206997) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2023-04-12 |