| NPI | 1912156050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 240913) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 294120) |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2025-09-04 |