| NPI | 1104076066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 284748-1) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 284748-1) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |