| NPI | 1790060259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 347U00000X) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NY 376K00000X) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |