| NPI | 1083433833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 267111) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 267111) |
| 207P00000X Emergency Medicine (Licence: NY 267111) | |
| 207Q00000X Family Medicine (Licence: NY 267111) | |
| 207N00000X Dermatology (Licence: NY 267111) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NY 267111) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 267111) | |
| 251F00000X Home Infusion (Licence: NY 267111) | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center (Licence: NY 267111) | |
| 251J00000X Nursing Care | |
| 261QS1000X Clinic/Center, Student Health (Licence: NY 267111) | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: NY 267111) | |
| 305S00000X Point of Service (Licence: NY 267111) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-24 |