NPI | 1457182248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: NY 828360-01) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 828360-01) |
163WH0200X Registered Nurse, Home Health (Licence: NY 828360-01) | |
Enumeration Date | 2024-08-12 |
Last Update Date | 2024-08-12 |