NPI | 1932492279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 738984) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 301246) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2017-10-07 |