| NPI | 1700109980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 219778-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 451216) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |