NPI | 1871000380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 82034901) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 294968-1) |
Enumeration Date | 2018-01-05 |
Last Update Date | 2021-11-16 |