NPI | 1023367703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 7370231) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 270332) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2021-07-08 |