NPI | 1083003313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 757765) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 320982-1) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2018-10-15 |