| NPI | 1558793703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5229984) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10304522) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2023-04-18 |