| NPI | 1770826117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 261903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 261903) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 261903) | |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 261903) | |
| 163WP0200X Registered Nurse Pediatrics (Licence: NY 261903) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 261903) | |
| 163WW0000X Registered Nurse Wound Care (Licence: NY 261903) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |