| NPI | 1528463650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 314341) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 037464) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |