| NPI | 1619483542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 330469-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330469) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |