| NPI | 1497231807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 331826-1) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 293314) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |