| NPI | 1689071086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 362921) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: NY 362921) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |