| NPI | 1740435544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 238-077-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 601269-1) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |