NPI | 1093253882 |
---|---|
Former Name | VANESSA BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 774728-01) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 320426-1) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2020-05-05 |