| NPI | 1427424373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 079898-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 039464-1) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |