| NPI | 1124454913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 464278-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 464278-1) |
| 163WP0200X Registered Nurse Pediatrics (Licence: NY 464278-1) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |