| NPI | 1699160366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: NY 539236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 539236) |
| 163WG0600X Registered Nurse Gerontology (Licence: NY 539236) | |
| 163WH0200X Registered Nurse Home Health (Licence: NY 539236) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 539236) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |