| NPI | 1235551177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 251111) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NY 251111) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |