| NPI | 1194048066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 2363751) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2663751) |
| 374U00000X Home Health Aide (Licence: NY 2363751) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |