| NPI | 1477012839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC2100X Registered Nurse Continence Care (Licence: NY 602424) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 602424) |
| 163WA2000X Registered Nurse Administrator (Licence: NY 602424) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |