| NPI | 1932678331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 270461) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 270461-1) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |