| NPI | 1043687445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 321913-1) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NY 342688430608E) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |