| NPI | 1780124024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 6986121) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: NY 6986121) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |