| NPI | 1689954448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NY 72987641) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 298764) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2018-11-30 |