| NPI | 1346576931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 2175291) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 2175291) |
| 374U00000X Home Health Aide (Licence: NY 2175291) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |