NPI | 1790091296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 230784) |
Additional Taxonomies | 3747A0650X Technician Attendant Care Provider (Licence: NY 230784) |
3747P1801X Technician Personal Care Attendant (Licence: NY 230784) | |
Enumeration Date | 2010-08-23 |
Last Update Date | 2010-08-23 |