| NPI | 1558523761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 549009-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 549009) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2013-06-06 |