NPI | 1134597503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 763807) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 323080) |
Enumeration Date | 2015-09-02 |
Last Update Date | 2019-02-18 |