| NPI | 1548775158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 278846-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 785485-01) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2020-06-17 |