| NPI | 1700153434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: NY 305727) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 305727) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |