NPI | 1427454669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 170247) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 786970) |
164W00000X Licensed Practical Nurse (Licence: NY 317932) | |
Enumeration Date | 2014-11-17 |
Last Update Date | 2023-06-29 |