NPI | 1265897813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 757301-1) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 321157) |
Enumeration Date | 2015-12-28 |
Last Update Date | 2018-09-07 |