NPI | 1225512585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 887851-01) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 332397-1) |
Enumeration Date | 2018-09-21 |
Last Update Date | 2024-08-02 |