NPI | 1912328469 |
---|---|
Former Name | HELEN MARIA DEPRIMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 32826-01) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 327826-01) |
174400000X Specialist (Licence: NY 13365861) | |
Enumeration Date | 2013-12-31 |
Last Update Date | 2022-02-24 |