| 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 |