| NPI | 1265641708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 504185-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 504185-01) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 504185-01) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-01-19 |