| NPI | 1194004713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 5415941) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 5415941) |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2011-08-13 |