| NPI | 1790053734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 643574-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15560000) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 643574-1) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NJ 26NR15560000) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-06-11 |