| NPI | 1841548450 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NY 20988-1) | 
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: NY 20988-1) | 
| 251S00000X Community/Behavioral Health (Licence: NY 20988-1) | |
| 302R00000X Health Maintenance Organization (Licence: NY 20988-1) | |
| Enumeration Date | 2012-08-29 | 
| Last Update Date | 2012-08-29 |