NPI | 1457748709 |
---|---|
Other Name | MARNELLE MOMPREMIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 321485) |
Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: NY 321485) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2024-10-08 |