NPI | 1790052124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 721467-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 721467-1) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2017-05-03 |