NPI | 1073740270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 739112) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 076931) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2021-05-20 |