| NPI | 1184172165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 763043) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10326115) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2019-03-19 |