| NPI | 1639648272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 747798-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 7487798-1) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |