| NPI | 1588113161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 642036-1) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: NY 642036-1) |
| 163WE0003X Registered Nurse Emergency (Licence: NY 642036-1) | |
| 163WH0200X Registered Nurse Home Health (Licence: NY 642036-1) | |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2016-09-24 |