| NPI | 1295078483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 307677-1) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL 9516976) |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 726905-1) | |
| 163WH0200X Registered Nurse, Home Health (Licence: FL 9516976) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-08-29 |