| NPI | 1124406566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 764545) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 764545) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-11-16 |