| NPI | 1144658485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 224718-1) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 224718-1) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |