| NPI | 1205175726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 694785-01) |
| Additional Taxonomies | 282E00000X Long Term Care Hospital (Licence: NY 294408-1) |
| 163WH1000X Registered Nurse, Hospice (Licence: NY 694785-01) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2020-12-29 |