| NPI | 1255403242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 9569L001) |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist, Home Health (Licence: NY 9569L001) |
| 374U00000X Home Health Aide (Licence: NY 9569L001) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-12-13 |