NPI | 1740673532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 966672) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 305044) |
Enumeration Date | 2015-03-18 |
Last Update Date | 2025-03-03 |