| NPI | 1407298722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 514312-1) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 514312-1) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: NY 514312-1) | |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2013-07-28 |