| NPI | 1144627787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 320610) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NY 00272430) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |