| NPI | 1831438191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 310685) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 37482) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |