| NPI | 1841520194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 252015-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L 050728-6) |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2010-01-09 |