| NPI | 1184992620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 308077) |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: NY 308077) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2012-07-27 |