| NPI | 1508471236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 703739-1) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 703739-1) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |