NPI | 1073880373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 714895-1) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 295432-1) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2016-10-12 |