| NPI | 1851759302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN90968) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |