NPI | 1396293692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: FL 9655800) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 906857) |
164W00000X Licensed Practical Nurse (Licence: NY 324596-1) | |
Enumeration Date | 2016-09-14 |
Last Update Date | 2024-04-14 |