| NPI | 1376787044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 297146) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2010-04-05 |