| NPI | 1598465189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY pending) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |