| NPI | 1821366709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 302909) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 302909-01) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2024-10-06 |