| NPI | 1649339144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 283322-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5161567) |
| 163WC1500X Registered Nurse Community Health (Licence: NY 616852) | |
| 163W00000X Registered Nurse (Licence: NY 616852) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2009-10-06 |