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 |