| NPI | 1477886299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 262368-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP040290) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |