| NPI | 1972075794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 617629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 617629) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-20 |