| NPI | 1740611631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 317122) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: NY 317122) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2017-08-22 |