| NPI | 1831319110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 287149-1) |
| 374700000X Technician | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2023-08-06 |