| NPI | 1164307237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse Infusion Therapy (Licence: NY 565910) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NY 565910) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |