| NPI | 1801641345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 893202) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 893202) |
| 163WW0000X Registered Nurse Wound Care (Licence: NY 893202) | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |