NPI | 1316493133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 685453-1) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 685453-1) |
Enumeration Date | 2016-08-31 |
Last Update Date | 2016-08-31 |