| NPI | 1508176140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 299780-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299780) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |