| NPI | 1710131172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 292818) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 292818-01) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2021-09-27 |