| NPI | 1154708113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: NY 10213366) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10213366) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |