| NPI | 1326471152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 312999) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NY 343281030612R) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |