| NPI | 1548134240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 757218) |
| Additional Taxonomies | 163WX1500X Registered Nurse, Ostomy Care (Licence: NY 757218) |
| 163WA2000X Registered Nurse, Administrator (Licence: NY 757218) | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |