| NPI | 1801163852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 296026) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 6292269) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |