| NPI | 1215353404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 241754) |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |