| NPI | 1750703252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 311016-1) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 311016-1) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |