| NPI | 1669796280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 490405) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 490405) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 490405) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |