| NPI | 1992063705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9378171) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 278822-1) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2016-02-01 |