| NPI | 1154152619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 753676) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL 9340289) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |