| NPI | 1558818674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 326221) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NY 326221-1) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-01-27 |