| NPI | 1649598749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 277760) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC 55304) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2024-09-11 |