| NPI | 1831588110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 302754) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2018-09-19 |