NPI | 1407499361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 810372) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 333752) |
Enumeration Date | 2019-10-23 |
Last Update Date | 2021-03-18 |