NPI | 1730485673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 6659261) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 302190) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2015-01-10 |