| NPI | 1366756066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NY 497156-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 497156-1) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |