| NPI | 1518416072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 283678-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5156881) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |