| NPI | 1710187695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 281490) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 281490164w00000x) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |