| NPI | 1760635437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: NY 22 722615) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 275465) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-09-08 |