| NPI | 1356744569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 488486-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 488486-1) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |