| NPI | 1013473990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 761639) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 761639) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |