| NPI | 1740673789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 566064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 566064) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 566064) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |