| NPI | 1811122161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 515339) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 515339) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 515339) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 515339) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |