NPI | 1487430815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 88684601) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 33587901) |
Enumeration Date | 2023-09-01 |
Last Update Date | 2023-09-01 |