| NPI | 1801149760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 00293827) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2938271) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-19 |