| NPI | 1861852956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 296537-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2965371) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |