| NPI | 1104699016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 747108) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 747108) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |