| NPI | 1962787291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 2947931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 758198) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2020-10-16 |