| NPI | 1598097891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 292203) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5165659) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |