| NPI | 1508225723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 323346) |
| Additional Taxonomies | 374700000X Technician (Licence: NY S6L4E7L2) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |