| NPI | 1023310547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 380598-1) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 380598-1) |
| 163WG0600X Registered Nurse, Gerontology (Licence: NY 380598-1) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 380598-1) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 380598-1) | |
| Enumeration Date | 2010-12-04 |
| Last Update Date | 2016-03-03 |