NPI | 1376796268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 904093-01) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 229016) |
Enumeration Date | 2008-10-23 |
Last Update Date | 2024-02-02 |