| NPI | 1447748611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NY 329160-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 329160-1) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |