| NPI | 1255573762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 217594-1) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NY 217594-1) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |