| NPI | 1750108502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 718965) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 12865139) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |