NPI | 1629585575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 743580) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: GA RN288464) |
Enumeration Date | 2018-01-01 |
Last Update Date | 2022-07-13 |