| NPI | 1780975870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 276272-1) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NY 276272-1) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-05-02 |