NPI | 1063865889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 903018) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 308401) |
Enumeration Date | 2016-07-16 |
Last Update Date | 2023-08-28 |