| NPI | 1760058820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: NY 640343) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 640343) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 640343) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: NY 640343) | |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2021-05-31 |