| NPI | 1740557131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 288830) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-062768) |
| 164W00000X Licensed Practical Nurse (Licence: OK 52407) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |