NPI | 1285834697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22655029) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2850441) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2014-08-15 |