| NPI | 1598075251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 292501) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5186690) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |