| NPI | 1114242823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 662250) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 248346) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2011-10-10 |