| NPI | 1265800114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 627267) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 627267) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |