| NPI | 1679859243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 20152463) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2951251) |
| 164W00000X Licensed Practical Nurse (Licence: NY 1679859243) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2021-07-09 |