| NPI | 1649760703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 709641-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 709641) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |