| NPI | 1740832344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 322788) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 40549) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |