| NPI | 1699530642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 753445) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: NY 753445) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-22 |