| NPI | 1659558237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 287809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 654893) |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2021-05-19 |