NPI | 1386024925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 420960-1) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 420960-1) |
163WW0000X Registered Nurse, Wound Care (Licence: NY 420960-1) | |
Enumeration Date | 2015-06-08 |
Last Update Date | 2015-06-08 |