| NPI | 1184385544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 686903-01) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 686903-01) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 686903-01) | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |