| NPI | 1851629455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 297820) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 297820-01) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2022-08-17 |