| NPI | 1104214691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: SC 262821) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10 321197) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2022-09-08 |