| NPI | 1235732082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 022649696) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NY 022649696) |
| 163WH0200X Registered Nurse Home Health (Licence: NY 022649696) | |
| 163WI0600X Registered Nurse Infection Control (Licence: NY 022649696) | |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 022649696) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |