| NPI | 1548506801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 311989) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: NY 3111989) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |