| NPI | 1891965752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 291670) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 26974) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2021-06-04 |