| NPI | 1366391658 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 701597) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 701597) |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-01-28 |