| NPI | 1588421473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 758632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 758632) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 758632) | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |