| NPI | 1679830996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 306675) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5166040) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |