| NPI | 1619361714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 320690) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 752181) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2018-07-30 |