| NPI | 1295079267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 307925) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NY 307925) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-07-31 |