| NPI | 1447631197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 320635-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 164W000000X) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |