| NPI | 1447503446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 317894) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 70090) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2014-04-02 |