| NPI | 1477995496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 312962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7621706-1) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2019-03-25 |