NPI | 1023310562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 445944-1) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 445944-1) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2010-12-02 |