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 |