NPI | 1871748160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: NY 340666) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 505586) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2008-12-01 |