| NPI | 1720452808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 395058) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 395058) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 395058) | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |