| NPI | 1689225815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 355166) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 335166) |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |